National Provider Identifier: National Provider Identifier: Contingency Plan and Data Contingency Plan and Data

DisseminationDissemination

Colleen Beier

Provider Services Assistant Director

WEA Trust

2

AgendaAgenda

• General information about the WEA Trust (the Trust)

• Contingency plan

• Data dissemination – What methods is the Trust utilizing

to capture national provider identifiers (NPIs)?

3

WEA TrustWEA Trust

• The Trust is a not-for-profit insurer • The Trust currently provides health, dental,

life, and disability insurance coverage to public school employees throughout Wisconsin

• We currently have approximately 130,000 lives enrolled in one of our health plans and approximately 120,000 lives enrolled in our dental plan

4

WEA Trust (Cont.)WEA Trust (Cont.)

• The Trust receives approximately 2.1 million health claims annually

• The Trust receives approximately 325,000 dental claims annually

5

The Trust’s Contingency The Trust’s Contingency PlanPlan

• Implemented on May 23, 2007

• Allows for the continued use of legacy identifiers in electronic transactions until further notice but no later than May 22, 2008

6

The Trust’s Contingency The Trust’s Contingency Plan (Cont.)Plan (Cont.)

• The Trust will continue to work with trading partners to move towards full compliance

• The Trust will provide a 60-day advance notice should the decision be made to end the contingency period before May 22, 2008

7

Positives of Contingency Plan Positives of Contingency Plan

• Allows additional time for testing with trading partners

• Allows additional time collecting NPIs from providers

• Little or no disruption of transactions

8

Negatives of Contingency Negatives of Contingency PlanPlan

Different levels of compliance throughout the industry

Some felt that the deadline was simply extended an additional 12 months

Resources that were assigned to the NPI project were removed

Additional steps will need to be taken in April 2008 to move to NPI only

9

Data DisseminationData Dissemination

• What methods are the Trust utilizing to capture NPIs?– Larger provider systems have shared the

NPIs with the Trust in an Excel format– Smaller providers have shared their NPIs

in various formats– NPI registry– Paper claims – Querying the system to identify data gaps

10

Colleen BeierProvider Services Assistant Director

WEA TrustMadison, WI

cbeier@weatrust.com(608) 661-6635

Thank youThank you